Untitled • Second Chance, Inc

Who are you, in relation to these items you're donating?

I own these items.

I'm filling this form out on behalf of a business or someone who owns these items.

These items belong to…

a business.

an individual.

Your First Name

Your Last Name

Your Contact Phone

Your Email Address

Business Name

Donor's First Name

Donor's Last Name

Donor's Phone Number

Donor's Email Address

Donation Pick-Up Address

City

State/Province

Zip/Postal

Owner Mailing Address

The mailing address of the item's owner is different from the donation pick-up address.

Donor Mailing Address

My mailing address is different from the donation pick-up address.

Mailing Address

City

State/Province

Zip/Postal

Please provide an itemized list of the goods you wish to donate, along with their quantities and condition.

For example: 6 Dining Chairs, good condition; 1 Loveseat, minor wear on arms;

Please upload current photos of your items for donation.

Maximum file size: 125.83MB

In order to expedite processing your donation request, we highly recommend you include at least one photo of each item you're looking to donate.

Provide us with any additional logistical information we might need.

Give us any deadline or timeline restraints, parking information, or anything else we need to make your pick-up a success.

How did you hear about us?

Give us more detail! What or who informed you about Second Chance?

Would you like to subscribe to the Second Chance mailing list?

Yes, keep me updated on Second Chance news, promotions and more!